Taking a Magnifying Glass to Measurement-Based Care Consultation Sessions: with What Issues Do Mental Health Clinicians Struggle? Adm Policy Ment Health 2023 May;50(3):366-378
Date
12/22/2022Pubmed ID
36542316Pubmed Central ID
PMC10201798DOI
10.1007/s10488-022-01244-9Scopus ID
2-s2.0-85144507499 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
PURPOSE: Ongoing consultation following initial training is one of the most commonly deployed implementation strategies to facilitate uptake of evidence-based practices, such as measurement-based care (MBC). Group consultation provides an interactive experience with an expert and colleagues to get feedback on actual issues faced, yet there is little research that unpacks the questions raised in consultation and what types of issues are important to address.
METHODS: The current study characterized the questions and concerns raised by community mental health clinicians (N = 38 across six clinics) during group consultation sessions completed as part of an MBC implementation trial. We conducted a qualitative content analysis of consultation forms completed by clinicians before each MBC consultation session.
RESULTS: Clinicians sought MBC consultation for clients across a range of ages and levels of depression severity. Qualitative results revealed five main questions and concerns in consultation sessions: (1) how to administer the PHQ-9, (2) how to review PHQ-9 scores, (3) how to respond to PHQ-9 score, (4) the types of clients for whom MBC would be appropriate, and (5) how MBC could impact a clinician's usual care.
CONCLUSION: Findings highlight the need for ongoing consultation and limitations of workshop training alone. Practical recommendations for addressing the common questions and concerns identified are presented to support MBC use.
Author List
Marriott BR, Walker MR, Howard J, Puspitasari A, Scott K, Albright K, Lewis CCAuthor
Ajeng Puspitasari PhD Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
FeedbackHumans
Mental Health
Referral and Consultation
